<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Order_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-order_id" data-rule="required" data-source="order/index" class="form-control selectpage" name="row[order_id]" type="text" value="{$row.order_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="{$row.user_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reson')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-reson" data-rule="required" class="form-control" name="row[reson]" type="number" value="{$row.reson}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Otherreson')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-otherreson" class="form-control" name="row[otherreson]" type="text" value="{$row.otherreson}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Backmoney')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-backmoney" data-rule="required" class="form-control" step="0.01" name="row[backmoney]" type="number" value="{$row.backmoney}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tradeno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tradeno" class="form-control" name="row[tradeno]" type="text" value="{$row.tradeno}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="row[remark]" type="text" value="{$row.remark}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refundtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-refundtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[refundtime]" type="text" value="{$row.refundtime|datetime}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shoprejectreason')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shopRejectReason" class="form-control" name="row[shopRejectReason]" type="text" value="{$row.shopRejectReason}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Refundstatus')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-refundStatus" data-rule="required" class="form-control" name="row[refundStatus]" type="number" value="{$row.refundStatus}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
